Individual provider Active NPI

Marco Sanudo Loayza, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Brookfield, WI
National Provider Identifier
1659690717
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
73228 Issued in WI
Practice address
17345 Civic Dr Ste 1327
Brookfield, WI 53045-5070
Phone
(414) 447-7330
Fax
(414) 447-1070
NPI assigned
May 27, 2010
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 73228 WI
Neonatal-Perinatal Medicine Physician 2080N0001X 25149 MS
Neonatal-Perinatal Medicine Physician 2080N0001X 73228 WI Primary

Addresses

Primary practice location

17345 Civic Dr Ste 1327
Brookfield, WI 53045-5070

Mailing address

PO Box 1327
Brookfield, WI 53008-1327
Phone (414) 447-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73228WIMDPediatrics Physician
25149MSMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newborn Care Physicians of Southeastern Wisconsin, LLP Pediatrics CurrentSince May 18, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1659690717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530081327",
            "telephone_number": "414-447-7330",
            "fax_number": "414-447-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17345 CIVIC DR STE 1327",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455070",
            "telephone_number": "414-447-7330",
            "fax_number": "414-447-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOAYZA",
        "first_name": "MARCO",
        "middle_name": "SANUDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "73228",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MS",
            "license": "25149",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "73228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.